AMEMSA Civil Rights Survey

AMEMSA Civil Rights Survey

This survey is brought to you by the Arab Film Festival (AFF), the Council on American-Islamic Relations (CAIR), the Islamic Center of Northern California (ICCNC), the Islamic Networks Group (ING), 3rd i's South Asian Film Festival and ZAWAYA with the support of the Asian American Pacific Islanders in Philanthropy (AAPIP). Our intention is to reach a diverse cross section of the African, Arab, Middle Eastern, Muslim, Sikh and South Asian (AAMEMSSA) community to understand our shared experiences with civil rights violations in a post-9/11 context.

We encourage you to be open and honest as you respond to these questions. Your identity will be kept confidential but the aggregate data will be shared with community leaders, members, funders, as well as, policy makers to help them understand how they can better serve our communities.

For further information or questions, call (408) 986-9874 or e-mail info@sfba.cair.com

Thank you for your assistance with this effort.

1.
In which county do you live?

a. San Francisco

b. Marin County

c. San Mateo

d. Alameda

e. Contra Costa

f. Santa Clara

g. Santa Cruz

h. Solano County

Other (please specify)

2.
How old are you?

a. Under 18

b. 18 - 29

c. 30 - 39

d. 40 - 49

e. 50 - 65

f. 65 +

3.
Which religion do you identify with and/or practice, if any at all?

a. Christian

b. Muslim

c. Sikh

d. Hindu

e. Buddhist

f. Jewish

g. None

Other (please specify)

4.
Which ethnic group do you identify with, if any at all?

a. Arab

b. Middle Eastern

c. South Asian

d. South East Asian

e. African American

f. African

Other (please specify)

5.
How long have you been in the United States?

a. Less than five years

b. Five to ten years

c. Ten to fifteen years

d. Over Fifteen years

6.
Approximately how many times, in total, have you experienced the following civil rights violations? if never skip to Question 10.